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Susan Samueli Center

NPI 1114317872ActiveOrganization· Clinic/Center, Multi-Specialty· Costa Mesa, CA

Clinic/Center, Multi-Specialty in Costa Mesa, California, registered in NPPES in February 2015, part of Regents of the University of California. The authorized official on file is John A. Heydt, MD, Chief Executive Officer.

Overview

NPI1114317872
StatusActive
Entity typeOrganization (subpart)
Parent organizationRegents of the University of California
NPI issuedFeb 2, 2015
Last updated in NPPESFeb 2, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center, Multi-Specialty Primary261QM1300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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